Average Medicaid Office Visit Payments in Santa Fe, NM: $93.59
Avg. Paid
$93.59
Range
$0.00 – $578.77
Total Claims
620,520
Providers
370
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Santa Fe, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Danielle Duquette
4801 Beckner Rd |
$92.12 | 12 | 12 |
|
Victor L Sherman
1029 Cielo Azul St |
$60.19 | 12 | 12 |
|
Elspeth Elaine Springsted
465 Saint Michaels Dr Ste 117 |
$46.74 | 12 | 12 |
|
St. Vincent Hospital
5501 Herrera Dr Ste B |
$79.12 | 12 | 12 |
|
William Kinlaw
455 Saint Michaels Dr |
$82.44 | 12 | 12 |
|
Raisa Chyorny
455 Saint Michaels Dr |
$56.80 | 12 | 12 |
|
Carmen Maria Solano
4730 Beckner Rd |
$87.76 | 13 | 12 |
|
Mitchel Ryan Anderson
1700 Cerrillos Rd |
$448.38 | 13 | 13 |
|
Mahlon R. Soloway
2947 Rodeo Park Dr E |
$43.03 | 13 | 12 |
|
Juby Thomas
32 Devoys Peak |
$65.87 | 13 | 13 |
|
Michael Angelo Lucia
4801 Beckner Rd |
$105.73 | 13 | 13 |
|
Oleg Uryasev
1640 Old Pecos Trl |
$60.78 | 13 | 13 |
|
Kate Fogarty
465 St. Michaels Drive Ste 112 |
$78.42 | 13 | 13 |
|
Lissa Shaffer
4200 Beckner Rd |
$94.82 | 13 | 12 |
|
Joel Michael Kent
460 Saint Michaels Dr Ste 1104 |
$67.59 | 14 | 14 |
|
Roger G Wiggins
1620 Hospital Dr |
$60.88 | 14 | 12 |
|
David Richard Vise
3530 Zafarano Dr |
$148.18 | 14 | 13 |
|
Cheryl Jean Whitman
2025 Galisteo St |
$47.76 | 15 | 15 |
|
St. Vincent Hospital
510 N Guadalupe St |
$70.86 | 15 | 14 |
|
Emma Goodstein
2145 Caja Del Oro Grant Rd |
$170.55 | 16 | 13 |
|
D William Brown
546 Harkle Rd |
$66.67 | 16 | 16 |
|
Stephanie Levy
4200 Beckner Rd |
$44.08 | 16 | 13 |
|
Lawrence W. Lazarus
1925 Aspen Dr Ste 901B |
$0.00 | 17 | 15 |
|
Jessica Curtin
1640 Old Pecos Trl Ste H |
$53.62 | 17 | 17 |
|
Bret Arthur Smoker
1700 Cerrillos Rd |
$461.33 | 18 | 18 |
|
Rachel Haase Donahue
1896 Lorca Dr Apt 93 |
$16.86 | 20 | 12 |
|
Mervianna Thompson
1532 Cerrillos Rd Ste B |
$90.10 | 21 | 13 |
|
St. Vincent Hospital
4001 Rodeo Rd |
$47.29 | 22 | 21 |
|
Helen Timmie Wallace
4309 Cloud Dance |
$12.30 | 23 | 15 |
|
Kimberly Ann Perez
1703 1/2 Lena St |
$18.59 | 25 | 12 |
|
Sonia Simeoni-Shannon
34 Cuesta Rd |
$62.46 | 26 | 26 |
|
Deborah D Werenko
1421 Luisa St Ste A |
$74.20 | 26 | 25 |
|
Luke Martin Gabe
465 Saint Michaels Dr Ste 209 |
$49.07 | 26 | 25 |
|
Gary E Giblin
2145 Caja Del Oro Grant Rd |
$106.07 | 27 | 25 |
|
John Dirk Wassner
465 Saint Michaels Dr |
$50.52 | 27 | 27 |
|
Eleonora Trujillo
4730 Beckner Rd |
$42.80 | 28 | 17 |
|
Lee Stewart Anderson
455 St. Michaels Drive |
$82.03 | 28 | 28 |
|
Elizabeth Olis
6 Calle Medico Ste 4 |
$113.99 | 29 | 26 |
|
Sue Katz
1035 Alto St |
$4.39 | 31 | 24 |
|
Suzanne Gagnon
1691 Galisteo St |
$34.46 | 31 | 25 |
|
Lee S Levin
2212 Brothers Rd |
$51.39 | 31 | 26 |
|
Marguerite Lynn Cordahi-Cruz
2801 Rodeo Rd |
$113.53 | 32 | 29 |
|
Julia Christine Davis
707 Paseo De Peralta |
$96.31 | 33 | 33 |
|
St. Vincent Hospital
465 Saint Michaels Dr # 200 |
$50.01 | 35 | 31 |
|
Poseidon Spyros Varvitsiotis
1631 Hospital Dr |
$21.53 | 37 | 31 |
|
Matthew Jordan Schmidt
1035 Alto St |
$93.97 | 40 | 36 |
|
Dharampal Khalsa
1482 S Saint Francis Dr Ste C |
$88.15 | 41 | 24 |
|
Daniel Esteban Bujanda
1691 Galisteo St Ste C |
$123.81 | 43 | 42 |
|
Philip Y Smucker
465 Saint Michaels Dr |
$72.43 | 43 | 42 |
|
Reed Macwilliam Otten
1631 Hospital Dr Ste 110 |
$48.25 | 44 | 43 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Santa Fe, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Fe, NM is $93.59 per claim, based on 620,520 claims from 370 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Santa Fe, NM?
There are 370 Medicaid providers offering Office Visit related services in Santa Fe, NM according to public payment data.
What is the price range for Office Visit in Santa Fe, NM?
Medicaid reimbursement for Office Visit in Santa Fe, NM ranges from $0.00 to $578.77 per claim, with an average of $93.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Santa Fe, NM
Substance Abuse Treatment
Avg $20.09
1,787,649 claims
Blood Work & Lab Tests
Avg $10.75
461,666 claims
Psychiatric Evaluation
Avg $113.28
360,310 claims
Home Health Visit
Avg $84.29
325,872 claims
Vaccines & Immunizations
Avg $17.02
313,043 claims
Dental Cleaning & Exam
Avg $30.17
258,551 claims
Emergency Room Visit
Avg $147.03
208,977 claims
Durable Medical Equipment (DME)
Avg $52.13
168,635 claims